くすりのしおり

Internal
Revised: 7/2018

The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse reactions (risks) as well as efficacies (benefits). It is important to minimize adverse reactions and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment.
Brand name :
Spiropitan tablets 1mg
 Active ingredient:
Spiperone
 Dosage form:
orange-yellow tablet (diameter: 8.4 mm, thickness: 4.6 mm)
 Print on wrapping:
E118 (identification code, printed on tablets)

Effects of this medicine

This medicine blocks dopamine D2 receptors of dopaminergic nerve in the brain, and relieves symptoms such as hallucination and delusion.
It is usually used in the treatment of schizophrenia.

Before using this medicine, be sure to tell your doctor and pharmacist

  • If you have previously experienced any allergic reactions (itch, rach, etc.) to any medicines.
    If you are a patient with heart failure, Parkinson's disease, or epilepsy.
  • If you are pregnant or breastfeeding.
  • If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)

Dosing schedule (How to take this medicine)

  • Your dosing schedule prescribed by your doctor is ((        to be written by a healthcare professional))
  • In general, take 1 tablet (1 mg of the active ingredient) daily, for the first week of administration. Then the dosage will be gradually increased to take 2 to 4 tablets (2 to 4 mg) daily. However, it may be adjusted according to the age or symptoms. Strictly follow the instructions.
  • If you miss a dose, take a dose as soon as possible when you remember that you missed a dose. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. You should never take two doses at one time.
  • If you accidentally take more than your prescribed dose, consult with your doctor or pharmacist.
  • Do not stop taking this medicine unless your doctor instructs you to do so.

Precautions while taking this medicine

  • The medicine may cause drowsiness; or decline of ability to pay attention, to concentrate or reflex movement. Avoid driving a car or operating dangerous machinery after taking the medicine.
  • Drinking alcohol may enhance the effect of the medicine. Avoid drinking alcohol while you are receiving the medicine.

Possible adverse reactions to this medicine

The most commonly reported adverse reactions include itch, rash, akathisia, parkinsonian syndrome (finger trembling), loss of appetite, insomnia, drowsiness, malaise and dry mouth. If any of these symptoms occur, consult with your doctor or pharmacist.
The symptoms described below are rarely seen as initial symptoms of the adverse reactions indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
  • high fever, muscle rigidity, impaired consciousness  [malignant syndrome]
  • nausea, vomiting, abdominal bloating, constipation  [paralysis intestinal]
  • sore throat, headache, muscle pain, high fever with chills/tremor  [agranulocytosis, leukopenia]
  • shortness of breath, chest pain [pulmonary embolism]
  • pain in limbs, swollen limbs [deep vein thrombosis]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.

Storage conditions and other information

  • Keep the medicine out of the reach of children. Store it away from direct sunlight, heat and moisture.
  • Do not store the remainder and ask your pharmacist or medical institution how to discard it.

For healthcare professional use only : Day Month Year

For further information, talk to your doctor or pharmacist.

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